晚期淋巴瘤患者的预后讨论:特征和挑战
Meghan McDarby1, Jaime Gilliland1, Rinchen Dolma1
1Department of Psychiatry and Behavioral Sciences, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Palliative & supportive care
|September 12, 2025
概括
对于晚期淋巴瘤患者的早期预后讨论侧重于治愈,往往推迟了全面的信息. 瘤学家平衡希望与现实主义,在诊断不确定性中需要明确沟通的策略.
科学领域:
- 在瘤学瘤学.
- 医学沟通 医学沟通
- 以患者为中心的护理
背景情况:
- 预后讨论对于晚期淋巴瘤患者至关重要,因为疾病的复杂性和不断发展的治疗方法.
- 关于患者和临床医师在晚期淋巴瘤早期预后对话中的观点的研究有限.
研究的目的:
- 确定可以改善临床医生沟通和患者对晚期淋巴瘤预后的理解的关键经验.
- 探索患者和瘤学家对早期预后讨论的观点.
主要方法:
- 定性研究涉及19名晚期淋巴瘤患者和3名瘤学家.
- 半结构面试使用专题内容分析与共识编码进行分析.
主要成果:
- 患者早期的预后对话主要强调治疗意图.
- 由于不完整的数据和患者的担忧,瘤学家推迟了更深入的预后讨论,平衡希望与信息.
结论:
- 需要沟通策略,在早期高级淋巴瘤预后讨论中平衡希望和现实主义.
- 瘤学家需要指导来管理信息传递,特别是在诊断模两可的情况下.
- 未来的研究应该专注于包容性抽样和优化预后讨论的时间和内容.
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